Author Question: The nurse is providing genetic counseling for an expectant couple who already have a child with ... (Read 127 times)

futuristic · **on:** Jun 27, 2018

The nurse is providing genetic counseling for an expectant couple who already have a child with trisomy 18 . The nurse should:

a. Tell the couple they need to have an abortion within 2 to 3 weeks.
b. Explain that the fetus has a 50 chance of having the disorder.
c. Discuss options with the couple, including amniocentesis to determine whether the fetus is affected.
d. Refer the couple to a psychologist for emotional support.

Question 2

A postpartum mother questions whether the environmental temperature should be warmer in the baby's room at home. The nurse responds that the environmental temperature should be warmer for the newborn.

This response by the nurse is based on which of the following newborn characteristics that affect the establishment of a neutral thermal environmental? Select all that apply. 1. Newborns have a decrease in subcutaneous fat.
2. Newborns have a thick epidermis layer.
3. Flexed posture of the term newborn
4. Blood vessels are closer to the skin.
5. Newborns have an increase in subcutaneous fat.
Correct

jackie · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

C

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A The couple should be given information about the likelihood of having another baby with this disorder so that they can make an informed decision.
B A genetic counselor is the best source for determining genetic probability ratios.
C Genetic testing, including amniocentesis, would need to be performed to determine whether the fetus is affected.
D The couple eventually may need emotional support, but the status of the pregnancy must be determined first.

Answer to Question 2

1; 3; 4
Rationale:
1. The normal newborn will require a higher environmental temperature to maintain a thermoneutral environment. Decreased subcutaneous fat, blood vessels closer to the skin, and a thin epidermis layer all are characteristics that affect the newborn's neutral thermal environment.
2. The normal newborn will require a higher environmental temperature to maintain a thermoneutral environment. Decreased subcutaneous fat, blood vessels closer to the skin, and a thin epidermis layer all are characteristics that affect the newborn's neutral thermal environment.
3. The normal newborn will require a higher environmental temperature to maintain a thermoneutral environment. The flexed posture of the newborn reduces heat loss by decreasing the surface area that is exposed to the environment. Decreased subcutaneous fat, blood vessels closer to the skin, and a thin epidermis layer all are characteristics that affect the newborn's neutral thermal environment.
4. The normal newborn will require a higher environmental temperature to maintain a thermoneutral environment. Decreased subcutaneous fat, blood vessels closer to the skin, and a thin epidermis layer all are characteristics that affect the newborn's neutral thermal environment.
5. The normal newborn will require a higher environmental temperature to maintain a thermoneutral environment. Decreased subcutaneous fat, blood vessels closer to the skin, and a thin epidermis layer all are characteristics that affect the newborn's neutral thermal environment.